The client has finished the first round of chemotherapy. Which statement made by the client indicates a need for further teaching by the nurse?
A) "I will eat clear liquids for the next 24 hours."
B) "Hair loss may not occur until after the second round of therapy."
C) "I will use birth control measures until after all treatment is completed."
D) "I can continue taking my vitamins and herbs because they make me feel better."
D
Feedback:
Herbal products are not regulated by the U.S. Food and Drug Administration (FDA); although some can decrease the risk of cancer, others can have serious side effects and liver toxicity. Use of vitamins and herbals should be reviewed with the oncologist. Use of clear liquids is recommended for the client experiencing nausea and vomiting. Because hair follicles are sensitive to chemotherapy drugs, it is likely for alopecia to occur especially with consecutive treatments. Chemotherapy includes cytotoxic drugs that are harmful to rapid dividing cells such as cell development in the fetus. To prevent damage to the fetus, birth control is recommended during treatment.
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